Individual
JOSEPH FRANK RAYNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20325 N 51ST AVE, SUITE 170, GLENDALE, AZ 85308-5674
(623) 249-4928
(623) 249-4971
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172031
—
AZ
Enumeration date
07/19/2005
Last updated
12/02/2009
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